# MINTED DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710447370
- **Authorized official:** DR. ONIKA PATEL DMD (OWNER)
- **Authorized official phone:** (480) 400-1794

## Contact information

- **Practice address:** 21050 N TATUM BLVD STE 200, PHOENIX, AZ 85050-4262
- **Practice address phone:** (480) 400-1794
- **Practice address fax:** (480) 400-1839
- **Mailing address:** 21050 N TATUM BLVD STE 200, PHOENIX, AZ 85050-4262
- **Mailing address phone:** (480) 400-1794
- **Mailing address fax:** (480) 400-1839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2019
- **Last updated:** 03/20/2019